MICHITAKA KAWATA MD - Medical Doctor License in Wisconsin | # 036139988

MICHITAKA KAWATA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139988

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MICHITAKA

Last Name

KAWATA

Business Name

MICHITAKA KAWATA MD

Original Issue Date

03/10/2016

Effective Date

08/02/2017

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/14/2021